Endoscopic examination of nasal cavity was performed in 76 subjects aged 1 to 15 years with congenital unilateral upper cheiloschisis and uraniscochasma before and after cheilo- and urano-plasty. All infants were divided into 3 groups for terms of surgical intervention and results of orthodontic treatment. They were the following: 1st group formed 27 children have been operated before 3 years age and received orthodontic treatment. 2nd group formed 25 children have been operated 3 years age later and received orthdontic treatment and 3rd group - 24 children operated after 5 years and not received orthodontiv treatment. Results of endoscopic exammation of nasal cavity in subjects with congenital unilateral upper cheiloschisis and uraniscochasma evidenced that pronounced deformations of external nose and changes in topography of nasal cavity following cheilo- and uranoplasty- in patients in the third group were observed.
В данной работе было проведено подробное эндоскопическое исследование полости носа и придаточных пазух носа у детей с врожденной расщелиной верхней губы и неба на этапах хирургического лечения врожденных пороков для определения влияния, данного аномалия на развития патологии в этих органах. Это, в свою очередь, увеличивает успешность раннего выявления и реабилитации патологических процессов в полости носа и придаточных пазух носа.
In 68 children aged 5 to 18 years with a congenital cleft palate, an endoscopic examination was performed to determine the anatomical, topographic, functional state of the nasal cavity and the cause of deformities characteristic of this anomaly. Children were divided into 3 groups: I group consisted of children with a through cleft palate (n = 23); Group II children with an isolated cleft palate (n = 25) and group III children with a hidden cleft palate (n = 20). The results of the study showed: in the first group - the mucous membrane is thin, bleeds quickly, the inferior turbinate is cyanotic; in the second group, the mucous membrane is hypertrophied, rough, has additional folds; and in the third group of children, the state of the mucous membrane is similar to that of healthy children. The condition of the nasal barrier after surgery for a defect in the palate depends on the timing and method of surgery.